문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제10권1호
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  • Pages.235-244
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  • 2024
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  • 2384-0358(pISSN)
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  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
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중장년 복합만성질환자의 건강관련 삶의 질 영향요인: 2018년 한국의료패널 자료 분석

Comparison of Factors Influencing Health-Related Quality of Life between middle-aged and Senior-aged Patients with Complex Chronic Diseases: Analysis of the 2018 Korea Health Panel Data

  • 김상미 (전주대학교 보건관리과) ;
  • 박혜선 (경남도립거창대학 보건의료행정과)
  • 투고 : 2023.10.05
  • 심사 : 2023.11.05
  • 발행 : 2024.01.31
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초록

본 연구는 중장년 복합만성질환자의 일반적 특성과 건강관련 특성이 건강관련 삶의 질에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 한국의료패널(version1.7)에서 2018년 자료를 추출하여 활용하였다. 2개 이상의 만성질환을 의사로부터 진단을 받은 경우를 복합만성질환자로 정의하여 2,408명을 대상으로 연구를 진행하였다. 수집된 자료는 STATA 15.0 프로그램을 이용해 서술적 통계, t-test, ANOVA, 다중회귀로 분석하였다. 연구결과 중년의 경우 교육수준, 가구소득분위, 경제활동, 스트레스, 좌절경험, 기본적 욕구충족은 건강관련 삶의 질에 양의 영향을, 의료보장유형, 우울감, 자살충동은 음의 영향을 미치는 것으로 나타났다. 장년의 경우 교육수준, 가구소득분위수준, 경제활동, 음주, 스트레스, 좌절경험, 기본적 욕구충족은 양의 영향을, 배우자, 의료보장유형, 우울감, 자살충동은 음의 영향을 미치는 것으로 나타났다. 따라서 중장년의 건강관련 삶의 질을 향상시키기 위해서는 개인별, 연령별 특성을 고려한 맞춤형 정책이 수립되어야 할 것이다.

This study is a descriptive exploratory research aimed at identifying factors influencing the health-related quality of life(HRQOL) in middle-aged and senior-aged patients with complex chronic diseases. The study participants were extracted from the Korean Medical Panel annual data. A total of 2,408 patients, with two or more chronic diseases were included. The data were analyzed using STATA 15.0 software through descriptive statistics, t-tests, ANOVA, and multiple linear regression analysis. The research findings indicate that in middle-aged patients, educational level, household income, economic activity, stress, experience of despair, and basic needs satisfaction positively influence health-related quality of life. On the other hand, types of medical insurance, depressive feelings, and suicidal ideation exert a negative impact. In the case of senior-aged patients, positive influences on health-related quality of life were observed for educational level, household income, economic activity, alcohol consumption, stress, experience of despair, and basic needs satisfaction. Conversely, negative influences were noted for marital status, types of medical insurance, depressive feelings, and suicidal ideation. Therefore, in order to enhance the HRQOL for middle-aged and senior-aged patients with complex chronic diseases, tailored policies considering individual and age-specific characteristics should be formulated.

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참고문헌

  1. Disease Control Agency, "2022 Chronic Disease Status and Issues", [Internet]. [Korea]: [cited 2023 Nov. 18].
  2. NECA, "Developing Guidelines for Elderly Health Lifestyles, 2022", [Internet]. [Korea]: [cited 2023 Nov. 18].
  3. OECD, "Health reform: metting the challenge of ageing and multiple morbidities", p.226, 2022.
  4. P. Boersma, L. I. Black, and B. W. Ward, "Prevalence of Multiple Chronic Conditions Among US Adults, 2018", Preventing chronic disease vol. 17 E106. 17 Sep. 2020, doi:10.5888/pcd17.200130
  5. J.H. Seo, "An Analysis of Multimorbidity Patterns and Healthcare Costs Using the Korea Health Panel Survey", Health and Welfare Forum, pp. 17-28, December 2021.
  6. M.-A. Kang, Y.-Y. Yang, and N.-Y. Choi, "Conceptual Analysis for Nursing Theory Development: Midlife Male Crisis", Multimedia Journal of Arts, Humanities and Social Convergence, Vol. 7, No. 10, pp. 721-729, 2017. https://doi.org/10.14257/AJMAHS.2017.10.49
  7. Centers for Disease Control and Prevention, "Measuring healthy days: Population assessment of health-related quality of life", Atlanta: Georgia, 2000.
  8. M. A. Testa, and D. C. Simonson, "Assessment of quality-of-life outcomes", The New England journal of medicine, Vol. 334, No. 13, pp. 835-840, August 1996. doi.org/10.1056/NEJM199603283341306
  9. S.-Y. Bang, "The Impact of Physical and Mental Health on Quality of Life in Middle-Aged Adults by Gender", Journal of Information Technology Applications & Management, Vol. 29, No. 2, pp. 27-37, 2022.
  10. J.S. Kwon, "Influencing Factors on Health-related Quality of Life in Middle and Old Adult One-Person Households", The Journal of the Convergence on Culture Technology, Vol. 5, No. 1, pp. 153-167,
  11. M.-A. Kim, S.-E. Choi, and J.H. Moon, "Effect of Health Behavior, Physical Health, and Mental Health on Health-related Quality of Life in Middle-aged Women: Using the 2014 Korea Health Panel Data", Journal of Korean Academy of Society of Home Care Nursing, Vol. 26, No. 1, pp. 72-80,
  12. Y.-J. Lim, "Correlation between Personal Competence of Health Care and Quality of Life among Middle-Aged Adults", The Korea Contents Association, Vol. 17, No. 2, pp. 198-206, 2017.
  13. M.J. Park, and H. Wee, "Effect of Health Behavior and Status on the Health-related Quality of Life of Middle-aged Men according to their Participation in Economic Activities: Using the 2017 Korea Health Panel Data", Journal of the Korean Society for Multicultural Health, Vol. 12, No. 2, pp. 45-57, 2022. https://doi.org/10.33502/JKSMH.12.2.045
  14. Y.S. Choi, and C.U. Heo, "Effects of Physical Leisure Activities on Health-related Quality of Life of Middle-aged Men", International Journal of Tourism and Hospitality Research, Vol. 35, No. 12, pp. 119-132, 2021. https://doi.org/10.21298/IJTHR.2021.12.35.12.119
  15. Y.J. Jeong, Y.A. Kim, and Y.-C. Kwon, "A Study on the Effect of Osteoporosis Knowledge, Osteoporosis Preventive Behaviors, and Self-Efficacy of Middle-Aged Women on Health-Related Quality of Life", The Journal of Convergence on Culture Technology, Vol. 7, No. 2, pp. 107-116, 2021.
  16. Korea Health Panel. Survey design: sampling [Internet]. Seoul: Korea Health Panel Study; 2017 [cited 2023 Nov. 18]. Available from: https://www.khp.re.kr:444/web/survey/
  17. J. Oh, Y.J. Yang, B. Kim,, and J.H. Kang, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form", Korean Journal of Family Medicine, Vol. 28, No. 7, pp. 532-541, June 2007.
  18. International Physical Activity Questionnaire Research Committee, "Guideline for data processing and analysis of the International Physical Activity Questionnaire(IPAQ)", [Internet]. [Sweden]: International Physical Activity Questionnaire [cited 2023 Nov. 18].
  19. N. F. Watson, M. S. Badr, G. Belenky, D. L. Bliwise, O. M. Buxton, D. Buysse, D. F. Dinges, J. Gangwisch, M. A. Grandner, C. Kushida, R. K. Malhotra, J. L. Martin, S. R. Patel, S. F. Quan, and E. Tasali, "Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society", Sleep, Vol. 38, No. 6, pp. 843-844, 2015. doi.org/10.5665/sleep.4716
  20. EuroQol Group, "EuroQol-a new facility for the measurement of health-related quality of life", Health policy (Amsterdam, Netherlands), Vol. 16, No. 3, pp. 199208, 1990. doi.org/10.1016/0168-8510(90)90421-9
  21. S.Y. Park, E.S. Lee, Y.J. Yang, Y.S. Yoon, J.H. Lee, Y. Huh, W.J. Park, J.M. Cheon, and J.W. Mun, "Risk of Hospitalization by Multimorbidity in Middle-Aged Adults Using the 2013-2015 Korea National Health and Nutrition Examination Survey", Korean Journal of Family Practice, Vol. 11, No. 1, pp. 22-28, 2021. https://doi.org/10.21215/kjfp.2021.11.1.22
  22. J.E. Kim, J.H. Park, M.-A. You, E.J. Seo, "Impact of Depression and Social Support on Medication Adherence in Older Adults with Multimorbidity", Journal of Korean Biological Nursing Science, Vol. 24, No. 3, pp. 200-207, 2022. https://doi.org/10.7586/jkbns.2022.24.3.200
  23. M. E. Reed, J. Huang, R. J. Brand, R. Neugebauer, I. Graetz, J. Hsu, D. W. Ballard, and R. Grant, "Patients with complex chronic conditions: Health care use and clinical events associated with access to a patient portal", PloS one, Vol. 14, No. 6, e0217636, 2019. doi.org/10.1371/journal.pone.0217636
  24. S. Kim, and I. Lee, "Comparison of Factors Influencing Health-Related Quality of Life between Young-Aged and Old-Aged Patients with Cancer: Analysis of the 2015 Korea Health", Journal of Korean Academy of Society of Home Care Nursing, Vol. 27, No. 2, pp. 156-168, 2020.
  25. S.Y. Bang, and Y.S. Do, "Health-related Quality of Life of Physical and Mental Health in Middle-aged Women", Journal of Korea Academia-Industrial Cooperation Society, Vol. 21, No. 6, pp. 161-169, 2020.
  26. J.-H. Kim, and I.K. Jung, "Relationship among Physical Activities, Nutrient Intake, and Health-related Factors in Menopausal Women: Based on 6th (2014) Korean National Health and Nutrition Examination Survey (KNHANES)", Journal of Korean Physical Education Association for Girls and Women, Vol. 30, No. 2, pp. 237-252, 2016. https://doi.org/10.16915/jkapesgw.2016.06.30.2.237